When in Doubt, Don't Give it Out! HIPAA Refresher for Nurses - CBD Oil and Your Nursing License
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
December 2019 • Volume 23 • Number 5 • www.arsbn.org CBD Oil and Your Nursing License When in Doubt, Don’t Give it Out! HIPAA Refresher for Nurses Publication of the Arkansas State Board of Nursing
2 501.686.2700
C o n t e n t s The ASBN
Update
circulation
PUBLISHED BY
includes
Arkansas State Board of Nursing
University Tower Building
Director’s Message • 4 over 57,000
1123 S. University, Suite 800
Little Rock, Arkansas 72204
licensed nurses
Telephone: 501.686.2700 and student
Fax: 501.686.2714
www.arsbn.org
Board Business • 9 nurses in
Arkansas.
B O A R D M E M B E R S
PRESI D ENT Mike Burdine, RN Key Components in Nursing Care:
VI CE PRESI D ENT Lance Lindow, RN
Patient-Centered Care and Empathy • 10
SECRET ARY Stacie Hipp, APRN
T REA SURER Neldia Dycus, RN
Jasper Fultz, LPN
Melanie Garner, LPN CBD Oil and Your Nursing License •12
Yolanda Green, LPN
Ramonda Housh, APRN
Janice Ivers, RN
Rachel Sims, RN
APRN CORNER
Mandatory Requirements •16
The mission of the Arkansas State Board
When in Doubt Don’t Give It Out!
of Nursing is to protect the public and act HIPAA Refresher for Nurses •18
as their advocate by effectively regulating
the practice of nursing.
DIRECT O R Sue A. Tedford, MNSc, APRN
You Can Help Prevent Suicide •22
ED I T O R LouAnn Walker
Information published in the ASBN Update is not
copyrighted and may be reproduced. The Board
Disciplinary Actions • 24
would appreciate credit for the material used.
Direct ASBN Update questions or comments to:
Editor, Arkansas State Board of Nursing,
1123 S. University, Suite 800, Little Rock, AR 72204. How Do I Renew My Arkansas
Advertisements contained herein are not necessarily Nursing License? • 28
endorsed by the Arkansas State Board of Nursing.
The publisher reserves the right to accept or reject
advertisements for the ASBN Update.
There is a Way to Pay • 30
The Arkansas State Board of Nursing is an equal
opportunity employer and does not discriminate on
the basis of race, color, religion, sex, national origin,
age, or disability in employment or in the provision
of services, programs, or activities.
pcipublishing.com
Created by Publishing Concepts, Inc.
David Brown, President • dbrown@pcipublishing.com
For Advertising info contact
Michele Forinash • 800.561.4686 ext 112
mforinash@pcipublishing.com
ThinkNurse.com
Address Change? Name Change? Question?
In order to continue uninterrupted delivery of this
magazine, please notify the Board of any change
to your name or address. Thank You.
edition 99
www.arsbn.org Find us on Facebook Follow us on Twitter 3
Director’s Message SUE A. TEDFORD, MNSc, APRN
The Year of Change
The staff at the Board of Nursing will not forget 2019. paperless. If you have renewed your license since June
They have been weaving down the pathway of change you have noticed how our renewal process changed with
all year. Change is an unavoidable constant in our work the new system. We spent countless hours planning how
lives and is never easy. However, we have emerged on the to make the transition as smooth as possible and many
other side and are seeing improvement in our efficiency hours solving the unforeseen issues that raised their
and effectiveness. ugly heads. Shortly after this big initiative we changed
On April 11, 2019, Gov. Hutchinson signed the companies used for monitoring drug screens for nurses
Transformation and Efficiencies Act of 2019 into law. This on probation. This provided for individuals under
act created a major restructuring of government agencies, monitoring to submit almost everything through the new
which has not occurred since 1972 under then-Governor company’s website and keep us moving toward a virtually
Dale Bumpers. The goal is to increase the number of paperless office. Both of these paperless systems have
efficiencies and cost-saving measures to streamline state improved our communication with nurses and made our
operations and put money back into the pocket of hard- processes more efficient.
working Arkansans. The transformation reduced the For most of us, change is personal. However, we
number of cabinet-level agencies from 42 to 15 without must learn to let go of the old and embrace the new. It
sacrificing services. Financial waste in government costs is essential to bring your knowledge and skills into the
the taxpayers. This transformation is designed to decrease process of change in order to make the new even better.
waste and save money for the state so the savings can be Your attitude toward change will determine how you
reallocated to important initiatives. experience it. Change is not always fun, but is a necessary
The Board of Nursing, along with the other health part of our life – personal and professional.
care related boards, has been placed under the
Department of Health and reports directly to Secretary
Nate Smith. The transformation allows us to maintain
our authority and revenue sources. There will be some
shared services, such as human resources, but for the
most part we will continue to handle business as usual.
If you have visited our website or received any
correspondence from us lately you will notice the
Department of Health logo on our communications.
We have a different look, but we are the same agency we
have always been.
The Governor is also in the process of moving the IT
services of all state agencies under the Department of
Information Systems (DIS). This should not affect the
public other than our agency has new email addresses.
In June we changed our licensing database to a new
system which takes us further into the world of green –
4 501.686.2700
www.arsbn.org 5
6 501.686.2700
www.arsbn.org 7
STAFF
DIRECTORY Mindy Darner,
Administrative Specialist II
Debra Fletcher
Legal Support Specialist
Shannon Nixon
Licensing Coordinator
ARKANSAS STATE Amanda Holiman Brandon Grimes Chandler Sullivan
BOARD OF NURSING Fiscal Support Specialist Regulatory Board Chief Administrative Specialist III
1123 South University Ave. Investigator
Suite 800 Andrea McCuien Tra’Vonda Tate
Administrative Specialist II Stephanie Johnsen Licensing Coordinator
Little Rock, AR 72204
Administrative Analyst
Office Hours: Mon - Fri
ADVANCED PRACTICE Markeisha Rotimi
8:00-12:00; 1:00-4:30 Patty Smith
Debra Garrett, DNP, APRN Licensing Coordinator
Phone: 501.686.2700 Legal Support Specialist
ASBN Program Coordinator
Fax: 501.686.2714 INFORMATION
www.arsbn.org Ellen Harwell Leslie Suggs TECHNOLOGY
Licensing Coordinator Legal Support Specialist LouAnn Walker
All staff members may be Public Information
reached via e-mail by using first ALTERNATIVE TO EDUCATION & Coordinator
name, period, last name@arkansas.
DISCIPLINE LICENSING
gov. For instance, louannwalker@
Tonya Gierke, JD, BSN, RN Karen McCumpsey, Albert Williams
arkansas.gov
ASBN Assistant Director — MNSc, RN, CNE Information Systems
ArNAP ASBN Assistant Director Coordinator
ADMINISTRATION
Sue A. Tedford, MNSc, APRN Tammy Vaughn, Susan Moore
DISCIPLINE & PRACTICE MSN, RN, CNE
ASBN Director Lisa Wooten, Computer Operator
MPH, BSN, RN ASBN Program Coordinator
Susan Lester, ASBN Assistant Director LEGAL
Executive Assistant Carla Davis Fred Knight
to the Director Debbie Rodgers, MSN, RN Licensing Coordinator ASBN General Counsel
ASBN Program Coordinator
ACCOUNTING Lori Gephardt Mary Trentham,
Darla Erickson, CPA Corrie Edge Licensing Coordinator MNSc, MBA, APRN-BC
Administrative Services Legal Support Specialist Attorney Specialist
Manager
Special Notice about the Arkansas State Board of
Nursing Magazine
The Arkansas State Board of Nursing has designated this magazine as an official method to notify nurses residing in the state
and licensed by the Board about information and legal developments. Please read this magazine and keep it for future reference
as this magazine may be used in hearings as proof of notification of the ASBN Update’s contents. Please contact LouAnn Walker
at the Board office (501.686.2715) if you have questions about any of the articles in this magazine.
ASBN staff members Albert Williams and Susan
Lester recently received a flu shot from ASBN
Board Officers for 2019-2020
L to R: Lance Lindow, RN, Vice President; Mike Burdine, RN, President;
Board member Neldia Dycus, RN
Janice Ivers, MSN, RN, CNE, Treasurer; Stacie Hipp, APRN, Secretary
8 501.686.2700
2019-2020
BOARD DATES
BOARD BUSINESS
2019
President Ramonda Housh presided Nurse Program, to be located on the November 13. . . . . . . . . . . . . . . Hearings
over the hearings held on September 12 Pocahontas and Paragould campus
November 14. . . . . . . . . . . . . . . Hearings
and the business meeting held on • Granted Prerequisite Approval to the
September 13. Highlights of Board actions Harding University Carr College of Nursing
are as follows: to establish two initial licensure Master’s 2020
• Granted Continued Full Approval to: Entry into Professional Nursing (MEPN)
January 8. . . . . . . . . . . . . . . . . . . . Hearings
o University of Arkansas Pulaski program tracks. Admission will include
Technical Practical Nurse Program either 90 completed undergraduate hours January 9. . . . . . . . . . . . . Business Meeting
until the year 2024 or a BA or BS, along with required nursing
o College of the Ouachitas Practical Nurse prerequisite courses, and who meet all February 12. . . . . . . . . . . . . . . . . . Hearings
Program until the year 2024 other eligibility requirements
o College of the Ouachitas Associate • Granted Initial Approval to Southern February 13. . . . . . . . . . . . . . . . . . Hearings
Degree Nurse Program until the Arkansas University Tech LPN/Paramedic
year 2024 to RN Associate of Applied Science in March 3-5. . . . NCSBN Midyear Meeting,
Boston, MA
o University of Arkansas Rich Mountain Nursing Program to begin admission in
Practical Nurse Program until the June 2020
April 8. . . . . . . . . . . . . . . . . . . . . . Hearings
year 2024 • Approved curriculum revisions for the
o South Arkansas College Practical Nurse South Arkansas Community College prac- April 9. . . . . . . . . . . . . . . . . . . . . . Hearings
Program until the year 2024 tical nurse program to be implemented
o Harding University Carr College of May 2019 May 6. . . . . . . . . . . . . . . . . . . . . . . Hearings
Nursing Baccalaureate Degree in Nursing • Elected Board officers for 2019-2020:
Program until the year 2024 o President – Mike Burdine, RN May 7. . . . . . . . . . . . . . . . Business Meeting
o University of Arkansas Hope-Texarkana o Vice President – Lance Lindow, RN
June 10. . . . . . . . . . . . . . . . . . . . . . Hearings
Practical Nurse Program until the o Secretary – Stacie Hipp, APRN
year 2024 o Treasurer – Janice Ivers, MSN, RN, CNE
June 11. . . . . . . . Board Strategic Planning
• Granted Prerequisite Approval to the
Black River Technical College Traditional July 8 . . . . . . . . . . . . . . . . . . . . . . . Hearings
Associate of Applied Science in Registered
July 9 . . . . . . . . . . . . . . . . . . . . . . . Hearings
August 12-14 . NCSBN Annual Meeting,
Chicago, IL
September 9. . . . . . . . . . . . . . . . . Hearings
September 10. . . . . . . . . Business Meeting
October 14. . . . . . . . . . . . . . . . . . Hearings
October 15. . . . . . . . . . . . . . . . . . Hearings
November 18. . . . . . . . . . . . . . . . Hearings
November 19. . . . . . . . . . . . . . . . Hearings
www.arsbn.org 9
Dr. Brandy Haley, PhD, RN,
Dean and Associate Professor of Nursing
University of Arkansas at Monticello
Key Components
in Nursing Care:
Patient-Centered Care and Empathy
Patient-centered care (PCC) focuses on a patient’s differs on that opinion. Several research studies examined
preferences, values, and needs (Institute of Medicine, interventions that targeted improvement of empathy
2001). According to Rogers (1951), PCC consists of four (Haley et al., 2017a, Haley et al., 2017b, Everson et al.,
components; caring, sharing, communication, and 2015). The literature suggests that empathy can be learned
developing a therapeutic relationship. These components through active listening and self-awareness (Gatongi, 2007;
are characteristics often thought of when discussing Haley et al., 2017a). In turn, learning empathy can have a
nursing care. In addition, these characteristics help nurses positive effect on delivering PCC.
understand a patient’s experience. For instance, patients So, how can we as nurses deliver PCC? The answer to
reported that when providers communicate openly, a this question lies in the concept of empathy. The
connection between the provider’s empathy and creating a imperative need for nurses to have empathy is articulated
positive healthcare atmosphere was made (Raja et al., in nursing professional standards, and empathy plays a
2015). This connection can help a patient develop trust. vital role in delivering high quality medical care. Nurses
Trust can then lead the patient to develop a therapeutic that have empathy may be able to recognize, understand,
relationship with the provider, thereby allowing the and share their patient’s experiences and emotions,
patient to share their disease symptoms and concerns. The resulting in delivery of care that is specific to a patient’s
patient may then feel listened to, valued, understood, and needs.
validated, which can lead the patient to follow medical Here are a few suggestions on ways to improve your
advice, and improve his/her self-care. empathy, with hopes of delivering PCC and having the
Nurses must see the importance of PCC, especially greatest positive impact on patient outcomes:
when literature shows its association with improved
patient outcomes. PCC has been linked to high patient (1) Actively listen to your patient.
satisfaction (Evans, Watts, & Gratton, 2015). PCC has also Active listening involves an inner process of hearing what
been associated with a decrease in hemoglobin A1C and another person says. When the listener hears the other
low density lipoprotein levels among patients who had a person’s story, this can attune the listener’s empathy
chronic disease (Rocco, Scher, Basberg, Yalamanchi, & through awareness of what the person is going through
Baker-Genaw, 2011). Researchers suggests that a core and give insight to the other person’s emotions and
component of PCC is empathy (Haley et al., 2017a, Haley feelings. Nurses must take time to listen and not
et al., 2017b). just hear what is being said.
Empathy is defined as the affective (emotional) and
cognitive ability to recognize, understand, and share what (2) Become self-aware. This concept allows a
a patient is experiencing (Gatongi, 2007; Rogers, 1951). As person to know himself/herself and be genuine in
nurses, showing empathy toward patients can help them expressing attitudes and self-beliefs toward others. Self-
feel understood, respected, and improve their healthcare. awareness includes three domains of self-concept, self-
For example, higher level of empathy among healthcare regard, and self-worth. Self-concept is a belief about self
providers were associated with shortened length of cold from morals and values (Rogers, 1959). Self-regard is the
illness for patients (Rakel et al., 2009). ability to accept a patient unconditionally (Winslade,
Some will say that empathy cannot be taught. There 2013), and self-worth is how a person views himself/
is not a lot of literature on this topic, but what does exist herself (Rogers, 1959)
10 501.686.2700(3) See the patient’s experience through edu/books/0309072808/html/
their eyes without becoming entangled in the 7. Raja, S., Hasnain, M., Vadakumchery, T., Hamad, J., Shah,
patient’s emotions. Ask how the medical diagnosis R., & Hoersch, M. (2015). Identifying elements of patient-
and/or plan of care affects their life and tailor their plan of centered care in underserved populations: A qualitative study
care according to their response. of patient perspectives. PloS One, 10(5), e0126708.
doi:10.1371/journal.pone.0126708
(4) Share, care, and communication to 8. Rakel, D. P., Hoeft, T. J., Barrett, B. P., Chewning, B. A.,
develop a therapeutic relationship with the Craig, B. M., & Niu, M. (2009). Practitioner empathy and the
patient. Refer back to your therapeutic communication duration of the common cold. Clinical Research and Methods,
training where using open ended questions was key to 41(7), 494-501.
processing underlying patient feelings and emotions. 9. Rocco, N., Scher, K., Basberg, B., Yalamanchi, S., & Baker-
Genaw, K. (2011). Patient-centered plan-of-care tool for
(5) Reflect back on your day to allow your improving clinical outcomes. Quality Management in Health
brain an opportunity to narratively collect and Care, 20(2), 89-97. doi:10.1097/QMH.0b013e318213e728
analyze patient situations that could have 10. Rogers, C. R. (1951). Client-centered therapy. Its current
been more therapeutic. practice, implications, and theory. Boston: Houghton Mifflin
Company.
References 11. Rogers, C. (1959). Psychology: A study of science. New
1. Evans, M.K., Watts, N., & Gratton, R. (2015). Women’s York: McGraw-Hill.
satisfaction with obstetric triage services. Journal of Obstetric, 12. Winslade, J.M. (2013). From being non-judgmental to
Gynecologic, & Neonatal Nursing, 44(6), 693-700. doi: deconstructing normalizing judgement. British Journal of
10.1111/1552-6909.12759 Guidance & Counseling, 41(5), 518-529. doi:10.1080/03069885
2. Everson, N., Levett-Jones, T., Lapkin, S., Pitt, V., van der .2013.771772
Riet, P., Rossiter, R., ... Courtney-Pratt, H. (2015). Measuring
the impact of a 3D simulation experience on nursing students’
cultural empathy using a modified version of the Kiersma-
Chen empathy scale. Journal of Clinical Nursing, 24(19-20),
2849-2858. doi:10.1111/jocn.12893
3. Gatongi, F. (2007). Person-centered approach in schools:
Is it the answer to disruptive behavior in our classrooms?
Counselling Psychology Quarterly, 20, 2(2), 205-211. doi:
10.1080/09515070701403406
4. Haley, B., Heo, S., Wright, P., Barone, C., Rettiganti, M. &
Anders, M. (2017a). Effects of using an Advancing Care
Excellence for seniors simulation scenario on nursing student
empathy: A randomized controlled trial. Clinical Simulation in
Nursing, 13, 511-519. doi: 10.1016/j.ecns.2017.06.003
5. Haley, B., Heo, S., Wright, P., Barone, C., Rettiganti, M. &
Anders, M. (2017b). Relationships among active listening,
active listening, self-awareness, empathy, and patient-centered
care in associate and baccalaureate degree nursing students.
NursingPluss Open, 3, 11-16. doi: 10.1016/j.npls.2017.05.001
6. Institute of Medicine. (2001). Crossing the quality
chasm: A new health system for the 21st century. Washington
DC: National Academy Press. Retrieved from http://www.nap.
www.arsbn.org Follow us on Facebook & Twitter @ThinkNurse! 11Mary A. Trentham, JD, MNSc, MBA, APRN,
CNP, GNP-BC, Attorney Specialist
CBD OIL AND YOUR
NURSING LICENSE
This week a disturbing article was Controlled Substances Act (CSA) due to from the seeds of the hemp plant and
circulating on the Internet from ABC7 the psychoactive effects of THC and the contains trace amounts of CBD. The
Lisa Fletcher, an investigative reporter potential for abuse. majority of CBD oils on the market are
and writer, that consumers of CBD oil The Agriculture Improvement Act of full-spectrum extracts. This means they
are being terminated after a drug test 2018 (generally referred to as the 2018 contain not only CBD but also a range
result was positive for THC.1 In one Farm Bill) was signed into law on of other cannabinoids and terpenes
case, Ms. Fletcher spoke with a 72-year December 20, 2018. The 2018 Farm Bill found in the cannabis plant. The main
old engineer who was terminated after became effective January 1, 2019, and difference between CBD oil from hemp
he failed a workplace drug test. He was legalized the cultivation and sale of and marijuana is the ratio between THC
using CBD oil for arthritis and industrial hemp at the federal level. and CBD. As stated above, industrial
glaucoma and thought he was “doing Industrial hemp plants must have a hemp, as long as the plant contains no
something perfectly legal, something delta-9 THC concentration of not more more than 0.3 percent THC on a dry
that would not trip a positive THC test.” than 0.3 percent by dry weight. Until weight basis, is no longer considered a
Ms. Fletcher also found several lawsuits, December 20, 2018, hemp was controlled substance under federal law.
“including one filed by women in categorized as a Schedule I substance Recall the old saying BUYER BEWARE!
California and Pennsylvania, both of under the CSA, thus making it illegal at Hemp fibers and stalks are used to
whom claim the CBD they were taking the federal level to cultivate, possess, or make clothing, rope, construction
was advertised as THC free. However, distribute the hemp plant, or CBD materials, paper, fuel and many more
the use of the CBD oil caused them to derived from the hemp plant. The 2018 items. Some manufacturers and
test positive on drug tests and lose Farm Bill removed industrial hemp marketers of CBD-infused products,
their jobs.”2 from the Controlled Substances Act including food, beverages, dietary
Peter Meyers, a law professor (CSA), which means that as long as the supplements, and creams, claim that
emeritus at George Washington plant contains no more than 0.3 percent the products are useful in the treatment
University Law School, states that while THC on a dry weight basis it is no and prevention of various diseases. The
a person may be complying with state longer considered a controlled FDA has taken the position that such
laws, they are violating federal laws. substance under federal law. However, claims subject the products to
Marijuana is still illegal under federal the U.S. Food and Drug Administration regulation as drugs, which typically
law. Mr. Meyers stated, “The wide (FDA) maintained the FDA’s authority require prior approval from the FDA
availability of CBD gives consumers the to regulate products containing based upon clinical trials to establish
impression it’s safe and legal.”3 The lack cannabis or cannabis-derived product safety and efficacy for public
of precision in product labeling is giving compounds under the United States consumption. The FDA has issued a
consumers a false sense of safety. Federal Food, Drug, and Cosmetic Act number of warning letters to halt the
Tetrahydrocannabinol (THC) and (FD&C Act). This applies to products marketing of products for which such
Cannabidiol (CBD) are the most described as hemp under the 2018 claims are made. Currently, Epidiolex®
commonly known compounds of the Farm Bill. (a seizure medication for children) is
marijuana plant (cannabis). CBD is the CBD websites claim that CBD oil is the only FDA approved medication
second most active ingredient and a made from the flowers, leaves and stalks that contains CBD.
natural component found in marijuana of the hemp plant and contains less Is CBD oil safe? Since the same
plants. THC is the active psychoactive than 1 percent THC. Some marketing enzyme in the liver that metabolizes
compound in marijuana. Marijuana is sites indicate that there is no THC in many conventional medicines and
listed in the Schedule I of the federal their CBD oil. Hemp oil is extracted supplements metabolizes CBD oil, the
continued on page 14
12 501.686.2700www.arsbn.org Follow us on Facebook & Twitter @ThinkNurse! 13
CBD Oil and Your Nursing License continued from page 12
metabolites of CBD oil can cause the levels of other drugs in which is classified as hemp, the products remain
the system to rise. CBD oil may cause increased activity of unregulated by the FDA making the THC levels contained
blood thinners and increased liver enzymes. Other research in the product unreliable. Moreover, the amount of THC
indicates that the use of CBD oil may trigger a number of side contained in the product is generally not listed on the
effects, including anxiety, diarrhea, dizziness, drowsiness, dry bottle of CBD oil. Consuming or vaping quantities of CBD
mouth, nausea, vomiting, or changes in appetite or mood. oil may leave enough THC in the nurse’s system to trigger a
There is a lack of quality scientific studies on human and positive test result. IS YOUR LICENSE WORTH THIS
animal populations on the use and effects of using CBD. The RISK?
FDA expresses a concern for the unreliability of the purity of
CBD products. Concentrations of CBD oil vary widely, not References
from brand to brand but from bottle to bottle within the 1.
Fletcher, Lisa, ABC7 Staff. 2019. Why consumers are
brand. CBD product companies use different CBD sources, claiming positive drug test results after using CBD oil Retrieved
extraction methods, and production techniques, and not all September 24, 2019 from https://wjla.com/features/7-on-your-side/
resulting products are created equal. investigations/consumers-claiming-positive-drug-test-after-cbd-oil.
The Nurses Guide to CBD, a blog on clinical cannabis, 2
ibid
health and wellness, reported that a 2017 study published in 3
ibid
JAMA found that of 84 different CBD oils purchased through 4
Wong, Cathy. 2019. CBD oil: benefits, uses, side effects, and
online retailers, 18 ACTUALLY CONTAINED THC. This means safety. Retrieved March 6, 2019 from https://www.verywellhealth.
that 21 percent of the CBD oil products tested contained com/cbd-oil-benefits-uses-side-effects-4174562
THC. Moreover, 43 percent of the products were under-labeled 5
Fletcher, Lisa, ABC7 Staff. 2019. Why consumers are
(concentrations of CBD were lower than listed on the product), claiming positive drug test results after using CBD oil. Retrieved
and 26 percent were over-labeled (concentrations of CBD was September 24, 2019 from https://wjla.com/features/7-on-your-side/
higher than listed). investigations/consumers-claiming-positive-drug-test-after-cbd-oil
Dr. Meyers was given access to the largest series of tests 6
Edmonds, Brie. 2019. Cannabidiol and drug tests.
conducted on CBD products by Ellipse Analytics. The outcome Retrieved February 8, 2019 from https://blog.employersolutions.
of the analysis found that “more than half of the 200 products com/cannabidiol-and-drug-tests/
tested were inaccurately labeled. Lab results showed that a
quarter of them – more than 50 - products falsely claimed
they were THC-free.”5
What does this mean for you, the nurse? If a nurse
consumes CBD oil, there is a risk that a positive THC test may
result. In some states, CBD oil may be allowed to contain up to
5 percent THC.6 If a nurse consumes excess CBD oil that may
be allowed to contain a larger amount of THC, that nurse is
risking a positive THC test.
CBD oil sold at a health food store in Chicago and tested by
one of this Board’s toxicologists was found to contain about 9
percent THC. Therefore, a person using CBD oil with higher
concentrations WILL show a positive urine test for THC.
Several nurses have had positive THC drug screens through
random drug testing by their employer. The nurse states they
are using CBD oil for inflammation, anxiety, and other health
issues. You, as the nurse, need to be aware that on a drug
screen, a positive THC drug test result CANNOT be
differentiated from CBD oil ingestion or application from
marijuana use.
Nurses will have to do their own research to determine
which companies the nurse is willing to trust. Although
most CBD products claim to have under 0.3 percent THC,
14 501.686.2700www.arsbn.org Follow us on Facebook & Twitter @ThinkNurse! 15
APRN CORNER
Debra Garrett, DNP, APRN
ASBN Program Coordinator
Mandatory
Requirements
It is the responsibility of every Advanced Practice DEA as needed. The laws pertaining to prescribing for
Registered Nurse (APRN) to stay up-to-date on Arkansas APRNs are also listed and should be reviewed. The only
laws and other relevant information related to practice. other CPA available is for the 2000 Drug Addiction
The advanced practice page of the Arkansas State Board of Treatment Act (DATA) Waiver. The instructions are located
Nursing’s website is found by choosing the adv practice under APRN Documents.
tab on the right hand upper corner of the home page.
APRN mandatory requirements are listed in the upper Reminder
left corner of the advanced practice page. The mandatory Please set up your nurse portal account if you have not
requirements include prescribing requirements and already done so. You will find information to assist you in
requirements for the Prescription Drug Monitoring setting up your account located on the home page of the
Program. ASBN website.
A new collaborative practice agreement (CPA) is also
located on the advanced practice page. Please utilize this TOTAL NUMBER OF ADVANCED PRACTICE
specific agreement from now forward. The APRN and REGISTERED NURSES - November 2019
collaborative physician will initial the requested CNM 26 CNS 152
prescriptive privilege, which will then be forwarded to the CNP 3,648 CRNA 805
ASBN staff presented retiring
staff member Patty Smith
an Arkansas Razorbacks
themed gift basket.
Thanks, Patty, for your service
to the ASBN and the citizens of
Arkansas.
Thanks
16www.arsbn.org 17
Follow us on Facebook & Twitter @ThinkNurse!Tonya S. Gierke JD, BSN, RN
Assistant Director, ArNAP
When in Doubt,
Don’t Give it Out!
HIPAA Refresher for Nurses
Knock knock! Who’s there? HIPAA! HIPAA • Treatment. Treatment is exactly what it says. You
who? I can’t tell you that! can use or disclose PHI for any activity that is tied to the
I think almost every health care worker has heard this treatment of that patient. This includes consulting other
corny knock-knock joke in their career. When it comes to providers or referring the patient to another provider.
patient privacy and the laws that regulate it (HIPAA), it is
no laughing matter. In 2018, the Office for Civil Rights •Payment. Payment includes all activities that are
(OCR) reported an all-time record year in the Health related to obtaining payment or getting reimbursed for the
Insurance Portability and Accountability Act (HIPAA) health care services provided. This includes obtaining pre-
enforcement activity. The OCR reported settling 10 cases authorization and filing claims.
and securing one judgment for a grand total of $28.7
million! In addition, they also reported achieving the • Health Care Operations. Health care
largest single settlement to date of $16 million in 2018.1 operations include activities such as quality improvement
What does all of this mean for you as the nurse? You activities, case management, assessing competencies of
need to know what ‘protected health information’ or PHI providers, credentialing providers, medical reviews,
is, and when you can use or disclose that information in compliance activities, risk management, and general
compliance with HIPAA. administrative activities. Because this list is not all-
inclusive, consult your privacy officer if you are unsure if
What is PHI? PHI can be used or disclosed for healthcare operations.
PHI refers to any health information that could be HIPAA also allows for other uses and disclosures of
individually identifiable. This could be a prescription with PHI. These include activities where a person can agree or
someone’s name on it, a medical record, discharge papers, object to an entity using their PHI (such as being listed in
or an x-ray film with a patient’s name and date of birth on a hospital directory); incidental uses and disclosures (such
it. The key is whether it is health information, and is there as a visitor overhearing a nurse speaking to a physician
any demographic data on, or with the information that about a patient’s condition at the nurses’ station); public
could identify the patient. interest activities (such as reporting child abuse or
PHI can be in a paper format (i.e. such as a print-out of neglect); and using PHI that has had certain identifying
a patient’s discharge instructions), or in electronic format information removed. If you are ever unsure about
(i.e. such as an electronic medical record), or oral format whether you can use or disclose PHI, consult your
(i.e. healthcare providers discussing identifiable PHI in a designated privacy officer. 2
public place such as a cafeteria). When information has been used or disclosed outside
PHI is not limited to a current health condition. It also of what HIPAA allows, it is called a “breach.” All
includes any physical or mental health condition in the healthcare entities are required to report their breaches to
past or in the future. the government on an annual basis. Breaches that involve
500 or more patients have to be reported no later than 60
When Can I Use or Disclose PHI? days from discovering the breach. The OCR reviews and
When it comes to ‘using or disclosing’ PHI, ask yourself follows up on all complaints and breaches to determine if
the following question: ‘Am I using or disclosing further investigation or actions are indicated. That is
information to the patient (or their personal representative) where all those settlements come in. Healthcare entities
or for treatment, payment, or healthcare operations?’ If the may be charged big fines if they were not doing what they
answer is ‘yes’, the use or disclosure is appropriate. were supposed to be doing to protect PHI.3
18 501.686.2700What can you do to protect your
patient’s information and your
organization from being the subject of
an OCR investigation? Your
organization should have a designated
individual who serves as the facility’s
privacy officer. Know who that person
is! Do you know where your HIPAA
policies and procedures are located?
When is the last time you read them? If
you haven’t had HIPAA training recently,
ask for it. You are responsible for
protecting your patients’ PHI whether
you have had training or not. And lastly,
if in doubt don’t give it out! Call your
privacy officer to help you make that
determination.
This information is for educational
purposes only and should not be
construed as legal advice. Please consult
your legal counsel if you have questions
related to a specific situation.
References
1. See https://www.hhs.gov/hipaa/for-professionals/
complianceenforcement/agreements/2018enforcement/
index.html.
2. See OCR Privacy Brief: Summary of the
HIPAA Privacy Rule located at www.hhs.gov/
hipaa/for-professionals.
3. See https://www.hhs.gov/hipaa/for-professionals/
breach-notification/breach-reporting/index.html
www.arsbn.org Follow us on Facebook & Twitter @ThinkNurse! 1920 501.686.2700
By Ladeana Bell, MS, LPE-I and Molly M. Gathright, MD
Ms. Bell is an outreach specialist with AFMC. Dr. Gathright is associate
You Can Help
professor, psychiatry, and director, faculty wellness at UAMS.
Prevent Suicide
Half of all Americans will experience a mental atmosphere of trust and provide an opportunity to
health crisis during their lifetime. For an increasing discuss treatment options.
number of people, it includes a suicide attempt or Using the chronic disease model, suicide risk can
suicide death. be managed by providing interventions to decrease
Arkansas ranks ninth in the nation in suicide risk. Patients with a history of mental illness or
deaths, with 631 lives lost to suicide in 2017, more substance use disorder (SUD) should be assessed at
than double the number of homicides. Suicide is the every visit regarding increased risk. It may reveal a
second-leading cause of death for ages 15-34 and the recent significant life stressor that triggers a mental
fourth-leading cause for ages 35-44. One Arkansan health screening or conversation.
dies by suicide every 14 hours. Risk factors include history of bipolar disorder,
Most mental health crises go unrecognized and major depression, suicide attempts, SUD, traumatic
untreated. Mental health is a key part of overall health brain injury, and serious physical health conditions
maintenance. Health care professionals should check such as pain. Risk state includes major life stressors or
for mental health changes in all patients, even those changes such as marital status, job loss, grief or
with no diagnosed mental illness. situational stressors.
One study found that suicide victims have often Every person with suicidal thoughts does not
visited their primary care provider (PCP) in the month require psychiatric hospitalization, but action is
prior to their death. Many patients have long-standing indicated. Actions can include, but are not limited to:
relationships with their PCP and the PCP’s nurses. • Securing a safety plan and means reduction for
This places you in a crucial position to prevent each care setting (i.e., arrange and confirm
suicides. Primary care may be the patient’s only access removal or reduction of lethal means).
to health care and every visit should include mental • Include the National Suicide Prevention Lifeline
health care. number (1-800-273-8255) and the crisis text line
Health care professionals in rural or underserved (741741 text TALK) in the safety plan.
areas, with limited access to mental health providers, • Follow-up phone calls to check on at-risk
need to become more comfortable with being the only patients.
point of contact. Integrating behavioral health care • Setting up or verifying and encouraging follow-up
into a patient’s overall wellness plan is a first step to appointments with a mental health provider.
suicide prevention. Be willing to ask the suicide • Collaborating with patient’s family and friends
question and work towards mental health screening as (if patient signs a release of information) to
part of wellness visits. discuss the safety plan.
Contrary to the once popular myth, asking about Suicide is preventable, but only if there is
suicide does not plant the idea in a person’s head. awareness, assessment and action is taken. Suicide
Suicide-attempt survivors say that being asked about prevention is everyone’s business.
suicide in a concerned manner often provides some
relief. Being ignored or misunderstood can increase
suffering and decrease attempts to get help. When
nurses acknowledge this suffering, it can create an
22 501.686.2700Suicide
Symptoms
If a person talks about:
• Killing themselves
• Feeling hopeless
• Having no reason to live
• Being a burden to others
• Feeling trapped
• In unbearable pain
These behaviors can signal risk,
especially if related to a painful event,
loss or change:
• Increased use of alcohol or drugs
• Looking for suicide methods;
searching online
• Withdrawing from activities
• Isolating from family and friends
• Sleeping too much or too little
• Visiting or calling people to say
We Celebrated 3,650 days of
goodbye
• Giving away prized possessions
• Aggression
• Fatigue mental health care in NWA in 2019
& honored to Be the Best of the Best Mental Health Hospital for 4 years
Mood changes to:
• Depression Call 479.973.6000 for a no-cost assessment,
• Anxiety 24 hours a day, 7 days a week
• Loss of interest
• Irritability Offering inpatient treatment for teens, adults, women’s only program
• Humiliation or shame and older adults and Outpatient treatment options for adults.
• Agitation or anger
Inpatient Treatment (24-hour care) Changing Paths Outpatient Treatment
• Relief or sudden improvement
• Psychiatric • Partial hospitalization
in mood (full day group therapy)
• Dual diagnosis
• Intensive outpatient
• Medical detoxification (adults only) (morning half-day sessions only)
• Specialty program for women • Medication-Management
With limited exceptions. physicians are not employees or agents of the hospital. For language assistance, disability accommodations and the non-discrimination notice visit our website 183820
www.arsbn.org Follow us on Facebook & Twitter @ThinkNurse! 23Disciplinary Actions
SEPTEMBER 2019
The full statutory citations for disciplinary actions can be found at www.arsbn.org specific education courses (ED), and research papers (RP). Probation periods vary and
under Nurse Practice Act, Sub Chapter 3, §17-87-309. Frequent violations are A.C.A. may include an employee monitored nurse contract and/or drug monitoring and
§17-87-309 (a)(1) “Is guilty of fraud or deceit in procuring or attempting to procure a treatment programs.
license to practice nursing or engaged in the practice of nursing without a valid Each individual nurse is responsible for reporting any actual or suspected
license;” (a)(2) “Is guilty of a crime or gross immorality;” (a)(4) “Is habitually violations of the Nurse Practice Act. To submit a report use the online complaint form
intemperate or is addicted to the use of habit-forming drugs;” (a)(6) “Is guilty of at www.arsbn.org, or to receive additional information, contact the Nursing Practice
unprofessional conduct;” and (a)(9) “Has willfully or repeatedly violated any of the Section at 501.686.2700 or Arkansas State Board of Nursing, 1123 South University,
provisions of this chapter.” Other orders by the Board include civil penalties (CP), Suite 800, Little Rock, Arkansas 72204.
NAME LICENSE # CITY ACTION VIOLATION EFFECTIVE DATE
Aycock Joseph Parker R051237 Little Rock Probation – 3 years (a)(9) September 11, 2019
Bane Kendra Marlene L051534 Conway Voluntary Surrender (a)(9) September 9, 2019
Bates Katrina Christine L053028 Glenwood Probation – 1 year (a)(6) September 11, 2019
Berryman Ryan Vincent R063378 Little Rock Probation Status Removed July 16, 2019
Blanchard Chellsey Ryanna R102512 Heber Springs Voluntary Surrender (a)(6), (a)(9) September 9, 2019
Boyd Stephanie Rae L041699 Green Forest Probation Status Removed July 16, 2019
Brown April Denise Brown L054903 Kouts, IN Voluntary Surrender (a)(6) July 29, 2019
Edwards
Canterbery Sandra Denise R029743 Lonoke Probation – 3 years (a)(4), (a)(8) September 11, 2019
Canterberry Himstedt
Canterberry McKisson
Clifton Doris Evelyn R015348 Fort Smith Voluntary Surrender (a)(6) July 18, 2019
Collins Justin Ray R077137 Springdale Probation – 3 years (a)(2), (a)(6), (a)(8) September 11, 2019
Collomp Jennifer Lane Poole R044871 Jonesboro Probation – 1 year (a)(4), (a)(8) September 11, 2019
Crawford Amy Beth R091834 Paragould Probation – 3 years (a)(6), (a)(8) September 11, 2019
Davis Brandon Heath L050333 Kennett, MO Probation – 1 year (a)(6) September 11, 2019
Dickinson Ashlie Brooks Davis R078067 Texarkana Voluntary Surrender (a)(8) August 8, 2019
Dillard Kathryn Kelly L017993 Little Rock Voluntary Surrender (a)(9) July 11, 2019
Dukes Linda Kay A004634 Royal Probation Status Removed July 23, 2019
R079428
PAC004521
Duncan Danielle Lee L056271 Horseshoe Bend Probation – 4 years (a)(6) September 11, 2019
Ford Valerie Kaye R040018 Batesville Probation – 5 years (a)(4), (a)(8) September 11, 2019
L027865
Golden Roxanne Elizabeth R078448 Hot Springs Probation – 3 years (a)(6) September 11, 2019
Strange Witherspoon L043912
Strange
Goodrich Thereasa Margaret R087152 Little Rock Probation – 2 years (a)(9) September 11, 2019
Gray Shayne Michael R063378 Little Rock Probation Status Removed July 16, 2019
Hale Meredith R090080 Benton Voluntary Surrender (a)(9) July 14, 2019
Harrison Dianne Renee A0122102, Texarkana Letter of Reprimand (a)(1), (a)(2) September 10, 2019
R0714440
Hollis Justin Wayne R107990 Hot Springs Village Probation – 1 year (a)(6) September 11, 2019
Holmes Debra Marie Scott R052631 Seattle, WA Probation – 1 year (a)(6), (a)(9) September 11, 2019
Richardson L015672
Jackson Laura Margaret L045061 Branson, MO Probation – 2 years (a)(7), (a)(8), (a)(9) September 11, 2019
Hendricks
Johnston
24 Gayla Renee Allen Button R033718 Redfield Probation – 2 years (a)(8), (a)(9) September 11, 2019
AllenDisciplinary Actions SEPTEMBER 2019
NAME LICENSE # CITY ACTION VIOLATION EFFECTIVE DATE
Jones Shavon Latrice R084855 White Hall Letter of Reprimand (a)(6) July 25, 2019
Kieselhorst Taira Renea Simmersing R089079 Bryant Reinstate to Probation – 4 years July 29, 2019
Leija Chelsea Nicole L059652 Jonesboro Letter of Reprimand (a)(6) July 17, 2019
Lewis, Jr. Claude Bruce R034539 Quitman Probation – 1 year (a)(6), (a)(8) September 11, 2019
Lilly Amanda R032882 Austin Voluntary Surrender (a)(8) August 5, 2019
Long Tammie Renee Ray R0065392 West Helena Reinstate to Probation – 1 year July 30, 2019
McCoy Colleen R107687 Bryant Probation Status Removed July 16, 2019
McGhee Elizabeth L052555 Hope Voluntary Surrender (a)(9) September 11, 2019
McGlawn Jason Scott L057672 Austin Voluntary Surrender (a)(6) August 15, 2019
Miller April Elizabeth Hartman R050215 Little Rock Probation – 3 years (a)(8) September 11, 2019
Paul Randy Lee L029580 Harrison Voluntary Surrender (a)(4), (a)(6) August 16, 2019
Pennington Linda Jean Kipkurui L036697 Rison Probation – 1 year (a)(9) September 11, 2019
Peridore Sara Jo R084827 Monette Voluntary Surrender (a)(6) August 28, 2019
Piggee Charlotte Evette Nelson L022657 Nashville Voluntary Surrender (a)(9) July 10, 2019
Pridgeon Nekita Viola R077985 White Hall Probation – 2 years (a)(2), (a)(7) September 11, 2019
L043285
Reddmann Devin Ann Wisinger R073373 Austin Reinstate to Probation – 3 years July 26, 2019
Reed Connor James L056696 Huntsville Probation – 3 years (a)(6), (a)(8) September 11, 2019
Sanders Christi Lynn R044642 Greenbrier Probation Status Removed July 16, 2019
Searcy Morgan Leigh L057329 Kingsland Suspension–2 years Terms and Conditions September 11, 2019
Smith Annetta Marie Mooney R092704 Clarksville Probation – 4 years (a)(6), (a)(7), (a)(8) September 11, 2019
L034028
Smith Justin Dale R077620 Warren Probation – 2 years (a)(4), (a)(6), (a)(7) September 11, 2019
Stevens Destini Tyne R091452 Hot Springs Probation – 3 years (a)(4), (a)(6) September 11, 2019
Tabe Tammie Sue Turner L050364 Hot Springs Suspension – 2 years Terms and Conditions September 11, 2019
Thaxton Chris Lee L051118 Van Buren Voluntary Surrender (a)(9) July 11, 2019
Tosch Amanda Jill Odom R068166 Hot Springs Probation Status Removed July 16, 2019
Tucker Deann Marie R100795 Sherwood Probation Status Removed July 30, 2019
Watts Michael Clell R050307 Conway Probation Status Removed July 30, 2019
Whitcomb Susan Marie R080486 Atkins Probation Status Removed July 16, 2019
Williams Carrol Patricia Carwell L041468 Cherry Valley Probation – 2 years (a)(6), (a)(7) September 11, 2019
Wood Licia Ann Lyle R053680 Benton Suspension – 2 years Terms and Conditions September 11, 2019
www.arsbn.org Follow us on Facebook & Twitter @ThinkNurse! 25Disciplinary Actions OCTOBER 2019
NAME LICENSE # CITY ACTION VIOLATION EFFECTIVE DATE
Ali-Banks Ashley Aeysha Ali R093141 Malvern Probation Status Removed September 27, 2019
L050566
Arnold Kimmer T. R039904 Pine Bluff Probation Status Removed September 27, 2019
L023403
Atkins Leticia Cantu L026771 Monticello Letter of Reprimand (a)(6) October 1, 2019
Blevins Janaya Nichole L040826 Little Rock Letter of Reprimand (a)(6) September 19, 2019
Crownover Taylor Marie Caravella R088860 Waukesha, WI Probation Status Removed September 27, 2019
Crum Tasha Kay L045980 Charleston Probation - 1 year (a)(9) October 9, 2019
Davis John Dylan R072201 North Little Rock Probation Status Removed September 27, 2019
Domer Stephanie R098442 Belleville Probation Status Removed September 27, 2019
Dunn Rosaland L053115 Texarkana Suspension Terms and Conditions October 10, 2019
French Elizabeth Ann Blair R050539 Newport Voluntary Surrender (a)(9) September 12, 2019
Greiner Sonja Lucille Armstrong A001670 Fort Smith Voluntary Surrender (a)(2) October 14, 2019
R068626
Harden Robin Leigh Dillard Bratton R065605 Little Rock Suspension - 1 year Terms and Conditions October 9, 2019
James Kimberly Ashley Suber L048620 Star City Probation - 1 year (a)(4), (a)(6) and (a)(8) October 9, 2019
Kidd Julie A. A004334 Springdale Probation - 5 years (a)(4), (a)(6) and (a)(7) October 9, 2019
R050405
PAC 004124
McClaren Brody James R102951 Jonesboro Probation - 1 year (a)(8) October 9, 2019
L053838
Moore Tanika LaDawn R085939 Jonesboro Suspension - 2 years Terms and Conditions October 10, 2019
L044866
Patterson Gregory Lewis R098462 Conway Probation - 1 year (a)(6) October 9, 2019
L050756
Perkins Erin Elizabeth Shannon R077312 Alexander Suspension - 2 years Terms and Conditions October 9, 2019
Rankin Christy Elizabeth Bull L045468 Morrilton Suspension Terms and Conditions October 9, 2019
Russell Keara Madison R104348 Ft. Smith Probation - 2 years (a)(1), (a)(6) October 9, 2019
Ruth Genelle L055201 Ft. Smith Probation - 1 year (a)(6) October 9, 2019
Schwartz Carri Marie Jeffers R066257 Bentonville Suspension - 2 years Terms and Conditions October 9, 2019
Schwartz McCain
Shackleford Celia O’Cain R122097 Lowell Letter of Reprimand (a)(1), (a)(7) September 18, 2019
Sharp Angel Jamelle L051040 Concord Suspension - 2 years (a)(4), (a)(6) October 9, 2019
Shelnutt Darla Brooke Broadway R082257 Benton Probation - 1 year (a)(9) October 9, 2019
Slavens Angelina L056584 Greenwood Probation Status Removed October 1, 2019
Smith Tammy Jean Edwards L033837 Huntsville Suspension - 2 years Terms and Conditions October 10, 2019
Fuller
Swaim Kelly Ann L060522 Royal Suspension - 1 year Terms and Conditions October 9, 2019
Terrell Stephanie Dawn Patterson L030730 Harrisburg Voluntary Surrender (a)(9)(a) October 10, 2019
Marshall Webster Patterson
Tidwell Tiffany L054211 El Dorado Probation - 2 years (a)(9) October 9, 2019
Tolliver Danielle Candace R108067 Van Buren Probation Status Removed September 27, 2019
Walker Decoya Demond L059189 Texarkana Probation - 1 year (a)(6), Rules October 9, 2019
Walmsley Tiha Marie Dougan R091806 Benton Suspension - 2 years Terms and Conditions October 9, 2019
Walters Jennifer Marie L060875 Henderson, NV Letter of Reprimand (a)(1), (a)(7) September 18, 2019
Warren Rexanna L041859 Conway Letter of Reprimand (a)(6) September 9, 2019
Williams Heath Allen L056776 Camden Voluntary Surrender (a)(4), (a)(6) September 26, 2019
26 501.686.2700www.arsbn.org Follow us on Facebook & Twitter @ThinkNurse! 27
Karen McCumpsey, MSN, RN, CNE,
How Do I Renew ASBN Assistant Director
my Arkansas Nursing License?
The renewal procedure of the Arkansas State Board of payment method information. Some important areas
Nursing (ASBN) is a cyclical biennial renewal process. To to note as follows.
renew your Arkansas nursing license on time and maintain
an active status, you must renew your license within the 60 Continuing Education
day period preceding your expiration date. Your license The continuing education (CE) requirements have not
expiration date should always be the last day of your birth changed. For complete information regarding CE
month. If you were born in an even-numbered year, your requirements go to www.arsbn.org. Click on the Education
license will expire in even-numbered years. If you were born tab and then click on the continuing education link and
in an odd-numbered year, your license will expire in odd- review the Frequently Asked Questions.
numbered years. If you are using the CE option for compliance, the
For example: If your date of birth is July 23, renewal application no longer requires that you
1965, then your license will be due for renewal in specifically list information about each CE course that
July of every odd numbered year and must be you have taken and you do not upload your certificates
renewed before it expires on July 31, 2019… July 31, in the message center.
2021… July 31, 2023... etc. The initial period of There is a specific question within the renewal application
licensure in Arkansas, whether licensed by that will ask you to affirm that you “have met the continuing
examination or endorsement, is for a period of three education requirements during the 24 months immediately
(3) to twenty-seven (27) months, depending on the preceding the renewal date (current renewal cycle.)” In other
nurse’s date of birth. Any time a license is issued words, you mark yes if you have completed the required CE
mid-renewal cycle, the next time the renewal date hours and you are saying that the information on the license
falls, the license must be renewed. renewal application that you submitted to the ASBN is
All nursing licenses are renewed online and each factual. You do not need to send or upload your CE
nursing license type must be renewed separately. certificates unless you are notified by the board that you have
Advanced practice nurses must have an active RN license been selected during a random audit for compliance. You
(in Arkansas or a multistate license in a compact state). must maintain your certificates for at least two renewal cycles
The first step in the license renewal process is creating or four (4) years in the event you are selected for an audit. If
an account in the Arkansas Nurse Portal or signing into an you are selected you will be notified to present photocopies
account you have already created. Go to www.arsbn.org of original certificates of completion to the board. At the
and create an Arkansas Nurse Portal account if you have time of audit, the board will request that you upload your
not created one. If you already created an Arkansas Nurse certificates through CE Broker.
Portal account, sign in. How-to instructional videos are Even if you are not selected for audit, you are
available for viewing at www.arsbn.org . Click on the red encouraged to maintain your CE certificates by registering
box titled Arkansas Nurse Portal How-to Videos. Click on for a FREE CE Broker account. CE Broker is an electronic
How-to Video(s): tracking system for CE that will allow you to have access to
How to Create a Nurse Portal Account with an Existing a 100 percent free Basic Account. This account provides an
License and How to Renew a License easy way to track your completed CE online and simplifies
Next, you will submit a renewal application online. the process of maintaining your CE records and certificates
Once you are 60 days from license expiration a renewal of completion.
link will be available in your Arkansas Nurse Portal For additional information go to our website at
account. You will click on the renewal link to begin http://arsbn.publishpath.com/ce-broker
the process of submitting a renewal application. You Register for CE Broker - https://www.cebroker.com/
will need your education and employment history and
28 501.686.2700Primary State of Residence
(PSOR)
On the license renewal application you
will identify your Primary State of Residence
(PSOR). The PSOR or Home state is the
state where you can prove you legally reside.
You can only have one PSOR. The board
can only issue a multistate license if your
PSOR is Arkansas and you meet all
predetermined criteria. You will not be
asked to submit documentation regarding
your PSOR unless there is a need for the
Board to validate what you have reported.
You would be asked to submit one or more
of the following documents:
JOHN BROWN UNIVERSITY, private, evangelical and Christian, seeks a
1. Driver’s license with a home address;
FULL-TIME DIRECTOR OF NURSING
2. Voter registration card displaying
to begin July 1, 2020, to provide leadership for the nursing department and overseeing daily operations.
a home address; Responsibilities include, but are not limited to: participating in review and revision of curriculum; coordinating
recruitment of full-time and adjunct faculty and participating in faculty orientation, development, mentoring, and
3. Federal income tax return evaluation; maintaining affiliation agreements with clinical agencies and coordinating on- and off-campus learning activities
pertaining to all practice experiences for the program; maintaining good standing with the state nursing board and the
declaring the primary state of Commission on Collegiate Nursing Education; coordinating course scheduling and instructor assignments each semester;
teaching courses in areas of expertise; mentoring and advising students; serving on university committees; and engaging
residence; in scholarly activities. Doctorate in nursing and prior academic leadership experience in a university setting are preferred.
Demonstration of effective teaching in an accredited baccalaureate nursing education program, evidence of scholarly
4. Military Form No. 2058 – state of potential, and a commitment to Christian higher education are essential.
legal residence certificate; Submit electronically a letter of interest and vita to academicaffairs@jbu.edu, Office of Academic Affairs,
5. W2 from U.S. Government or any John Brown University, Siloam Springs, AR 72761. Phone: 479.524.7129. Minorities are encouraged to apply.
bureau, division, or agency
thereof, indicating the declared
state of residence; or
6. Other documentation as
identified by the Board.
For additional information go to
our website at http://arsbn.
publishpath.com/compact
At the end of your renewal application,
you will submit it for payment – be sure to
allow time for the system to process, and do
not close your computer or it will remain in
an incomplete state. Once you have
submitted your application, you will receive
an automatic email through your Arkansas
Nurse Portal message center. Completion of
license renewal is an important process in
maintaining an active license. The board has
prepared an extensive listing of the most
frequently asked questions and it is available
at http://arsbn.publishpath.com/Websites/arsbn/
imagesRenewalFAQs8.2019.pdf
www.arsbn.org 29
Follow us on Facebook & Twitter @ThinkNurse!You can also read
